Dr. Bradley Duane Wagoner is a Marion, Iowa based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Bradley Duane Wagoner is 6894 for General Practice Dentistry in Iowa. His current practice location is 955 31st St, Marion. Patients can reach him at 319-377-4867.
Dr. Bradley Duane Wagoner is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Bradley Duane Wagoner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Bradley Duane Wagoner
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
955 31st St, Marion, Iowa, 52302-3788
Phone:
319-377-4867
Fax:
319-377-4383
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1225019201
NPI Enumeration Date:
08 Nov, 2005
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley Duane Wagoner are as mentioned below.
License Number
Specialization
State
Status
6894
General Practice Dentistry
Iowa
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bradley Duane Wagoner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0207225
Medicaid
Iowa
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3400 Crown Ave, Marion, Iowa
Zip:
52302-1446
Phone Number:
319-373-0322
Patients can reach Dr. Bradley Duane Wagoner at 955 31st St, Marion, Iowa or can call to book an appointment on 319-377-4867. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.